Corporate Health Science and Specialists Division, Chief Scientific Adviser's Group, Health and Safety Executive, Redgrave Court, Merton Road, Bootle, Merseyside L20 7HS, UK.
Br J Cancer. 2012 Jun 19;107 Suppl 1(Suppl 1):S104-8. doi: 10.1038/bjc.2012.125.
Although only a relatively small proportion of cancer is attributable to occupational exposure to carcinogenic agents, the estimated number of deaths due to occupational cancer is high when compared to other deaths due to work-related ill health and injury. However, risk from occupational exposure to carcinogens can be minimised through proportionate but effective risk management. The Health and Safety Executive (HSE) is the regulator of workplace health and safety in Great Britain. As part of its aim to reduce ill health arising from failures to control properly exposure to hazards at work, HSE commissioned the research presented elsewhere in this supplement to enable it to identify priorities for preventing occupational cancer. The research has shown that occupational cancer remains a key health issue and that low-level exposure of a large number of workers to carcinogens is important. The finding that a small number of carcinogens have been responsible for the majority of the burden of occupational cancer provides key evidence in the development of priorities for significant reduction of occupational cancer. Although the research presented in this supplement reflects the consequences of past exposures to carcinogens, occupational cancer remains a problem. The potential for exposure to the agents considered in this research is still present in the workplace and the findings are relevant to prevention of future disease. In this article, the principle approaches for risk reduction are described. It provides supporting information on some of the initiatives already being undertaken, or those being put in place, to reduce occupational cancer in Great Britain. The need also for systematic collection of exposure information and the importance of raising awareness and changing behaviours are discussed.
虽然只有相对较小比例的癌症可归因于职业接触致癌剂，但与其他因工作相关的健康不良和伤害导致的死亡相比，职业性癌症导致的死亡人数估计很高。然而，通过适当但有效的风险管理，可以最大限度地减少职业接触致癌剂的风险。英国健康与安全执行局（HSE）是英国工作场所健康和安全的监管机构。为了减少因未能适当控制工作场所危害而导致的健康不良，HSE 委托开展了本增刊中其他部分介绍的研究，以便确定预防职业性癌症的优先事项。研究表明，职业性癌症仍然是一个主要的健康问题，大量工人低水平接触致癌剂的情况很重要。少数几种致癌剂导致了大部分职业性癌症负担的发现，为大幅度减少职业性癌症的优先事项提供了关键证据。尽管本增刊中介绍的研究反映了过去接触致癌剂的后果，但职业性癌症仍然是一个问题。在工作场所仍然存在着对本研究中考虑的这些因素的接触的可能性，研究结果与预防未来疾病有关。本文介绍了减少风险的主要方法。它提供了一些已在英国开展或正在开展的减少职业性癌症的举措的支持信息。还讨论了系统收集接触信息的必要性以及提高认识和改变行为的重要性。
